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HomeMy WebLinkAboutPermit Electrical 1995-3-27 r' 4~-'?- . . The following p'oJ9Ct .. 'l!bmitt~d h.s the following zoning. 8('tu doo8 not requlro spotiiio IC1nd use approval, . . I. C U Zonln{l / . 974770",. 7,)2.-,h{ 726-3769:-'7 It'..ltl\r.u.!od Slonatur. "" .,"- . '. 'j . 1. LOCATIgN OF INSTALLATION I' ~5'<t") IfIA,^, ,,1"". Sf'liu.rr.Flc5<.D .J LEGAL DESCRIPTION ;? "'d~- "3'?- y~_ ~"'33... JOB DESCRIPTION '-?":> 1000 sq. ft. or less ~;"=.H""/~"':::-->"/~____ ~~'~Each additional 500 . ' ".,. . / . . sq. ft or portion 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical contrar;tor~~~tl Cle-c.. Address /PO,. &x .5Zb , . " Ci ty-;;z, ;t-; IE. Phone ~7l/- - Z "57 r' 1?Y~"7 . Supervisor License Number I./OI? -- $ Expiration Date C; b Constr Contr. Number -fJC;':; 33- Expira tion Da te 9 b .' Sign7e of su,per;i~g Ele~~ician /IE- hn..LuD 7V aL J2JA ,-- own~:s Name 'j:b'-JIJl> 'MAUJ .p 'Z~A Address ..5S-t.,C7 mLli",) 5T Ci tNlluJ,hHIQ7) Phone OVNER INSTALLATION "', The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~\ DATE: RECEIPT 11: IlIU~RTVF.n RY: 7"'</-~? /~ :/.5 <> """-hr>--:"- ELECTRICAL PERMIT APPLICATION kl0t'- 3. City Job Number COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: Items Cost: Sum $ 85.00 thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder $ 15.00 $ 40.00 Services or Feeders Installation, Alterations . or Reloca t ion: '. . , 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to/1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation '200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00' Over 600 amps or 1000 volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel ~ $.35.00 ~ One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 " E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 3 S". - 5% State Surcharge I _ 7~' 3% Administrative Fee _ r/. o~ TOTAl. ~...,._....... \i l\I "'I l, ~ ,_ t I \ ~ v.. ..... \I-J . -- -L-c . , , ,.:\ . , :.. :<;'\-"0 ,__ s.\ ", ~~ o..i:' I' ~ <(10 \, Vi ~ , ~ 'I.. ':--~:. . - I . .' . i .' , ". " 0" ,..;.' . .,. ," ,- . . .' . ..' ~ '-, '.~' ". ;"'~ I \ , '. ~